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P MIT ARPLICATIO <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE AODRESS PARCEL TAX I D.I PERMIT N <br /> 3�z-z Cc�ib vny� i3ao3oz� o-a Zo�-lb3 <br /> LEGAL LOT NO. BLOCK TRACT <br /> 6ESC. "L 1 S,Z�Jz � <br /> OWfyER I ADDRESS � PHO�(E <br /> " Kad�a �'�d:cx I J—h1R.g� i �ZS - �3 5� . S�J� Sk . � ZU i�yzsJ Ze "7 - Gzvo <br /> � { E t�cr-C�,� q S Zv� ; <br /> TENANT NAME CONTAC1T' NAME ! PMONF �,/ <br /> � V�Lrc�-H-vvvW�3,ti�; I `hr,� /Vwal,n�war{— i ��) �/�z -4y-�1 <br /> CONTRACTQR U y�;-�{a 5}�„v�S � ADDRESS (O�Z � S'I.c.) IC(�C'I���f' W� i CONTR.UCENSE• <br /> � 1-� � � s�.IJ(c,u.rsl q �,3y ro4 �a1-rEs7_ nl,'7t� <br /> PHONE (Za.'4�I'1 L — �l�5�� I <br /> PROPOSE4 USE F UILDING R Building �Mechanical Addit�on HEATSOURCE <br /> /�A f �A"Cy l (�� -�i(/� � PERMIT uCombination Ptumbing WORK P.i;eration Eiectrk <br /> /""�" �� I � TVPE �] Demoli�ion 5ign TYPE �New �Gas <br /> U Sprinkler Repair/Main!. U Olher <br /> CONTRACT PRICE OF WORK ZZS� �"TJ�a CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIP710N <br /> �- � VA �— '�'i .�. s�+�o�c'�e.A �la.r�� <br /> —p�L 1MBING MECHANICLL <br /> N0. TYPE OF FI%TJRE OR ITEM N0. TYPE OF Fl%TURE Ofl ITEM <br /> WATEF CIOSET 3 A/C-A/HANDLING UNITS <br /> DATHTU9 FORCED AIR SVSTEMS <br /> = LAVATORY(WASH BASIN) — HEAT PUhiP �j <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DiSPOSAL _ CLOTHES DRYER �� <br /> DISHWASHER �'C� �\� RANGE HOOD <br /> � CLONOES WASHER �J��Q � _ METAL FIREPLACE/STOVE 2� <br /> _ URINAL � QP � _ FIP.EPLACE INSERT <br /> DRINKING FOUNTAI�' n F 7 GAS FIREPLACE <br /> FLOOR DRAIN �'C� !GO � 3qS HANGE <br /> BACKFLOW PREVENLEH G � GAS PIPING <br /> _ SINK(SERVICEiBAWMOP/ETC����wV '� EXHAUSTp AN <br /> _ OTHE(�_ _ � � �_ OTH T-�rtK y 6J4II� i <br /> ' I <br /> — � � e.rs <br /> — — � � .ti.h� �, <br />� I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND HNOW Th!E SAR1E TO BE TRUE AND CORREC7. AlL I <br /> PROVISIONS OF V�N/5 AND OP.IDINACES GUVERNING 7H15 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGIFIE^HFFEIN OR I <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORIiV 70 VIOL4TE OR CANCEI THE PROVISION OF ANY pTHER �, <br /> STATE OP LOCAL lAW REGUUTING CONC-.TRUC710N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE i <br /> OWNEH OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MApF_AND I COMPLV WRH THE STATE <br /> COFlTRACJORS LAW 1d27 RCW AND 296.200 WAC. I <br /> �//J `U�/ ���j�'f 0��1. O l� lD� <br /> S gnaNre of Owner%Contr3ctor/Authonzed R.gent �ate � <br /> _ ` � <br />